| NPI | 1487082855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000046412) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 1017) |
| 237700000X Hearing Instrument Specialist (Licence: DE 03-0000236) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2015-12-08 |